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FEC Form 1 for Varian Medical Systems PACForm 1 for Varian Medical Systems PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-746396


1. Varian Medical Systems PAC

    525 9th Street, NW
    Suite 450
    Washington, DC 20004

    NOTE: Address is different than previously reported

    Email: varianpac@varian.com

    NOTE: Email address is different than previously reported

2. Date: 09/26/2011

3. FEC Committee ID #: C00450965 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Varian Medical Systems, Inc.
3100 Hansen Way
Palo Alto, California 94304
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Maureen Zilly Tracy
525 9th Street, NW
Suite 450
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3441

Treasurer:

Maureen Zilly Tracy
525 9th Street, NW
Suite 450
Washington, DC 20004
Title: Treasurer
Phone # (202) 629-3441

Designated Agent(s):

Franco Palomba
3100 Hansen Way
Palo Alto, California 94304
Title: Assistant Treasurer
Phone # (650) 424-5955

Banks or Depositories

First California Bank
1880 Century Park East
Los Angeles, California 90067

Bank of America
1001 Pennsylvania Ave NW
Washington, DC 20004

Signed: Maureen Zilly Tracy
Date Signed: 09/26/2011

FORM TEXT

(End FEC FORM 1)


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